Str markers specimen anal at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1,709.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,849.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$145.86 with United Healthcare vs $1,872.14 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | Compass Exchange | $145.86 | ↓ -91% |
| Anthem Blue Cross Blue Shield | Traditional | $150.72 | ↓ -91% |
| Aetna | Neighborhood Network | $163.54 | ↓ -90% |
| Aetna | Home Depot Employer Group | $168.84 | ↓ -90% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $171.94 | ↓ -90% |
| Cigna | NBR ASO/FI | $172.38 | ↓ -90% |
| United Healthcare | All Business | $172.38 | ↓ -90% |
| Aetna | NBR ASO/FI | $172.38 | ↓ -90% |
| Cigna | New Business ASO | $172.38 | ↓ -90% |
| Cigna | EBR | $176.80 | ↓ -90% |
| Aetna | EBR ASO | $176.80 | ↓ -90% |
| Cigna | Commercial | $176.80 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $208.67 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $230.35 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $240.02 | ↓ -86% |
| Aetna | Medicare | $240.06 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $243.10 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $243.10 | ↓ -86% |
| Aetna of PA | Medicare | $244.72 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison Kids | $244.72 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $244.72 | ↓ -86% |
| United Healthcare | Medicare | $249.38 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $251.69 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $251.72 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $251.72 | ↓ -85% |
| Cigna | Medicare | $251.72 | ↓ -85% |
| Aetna | EBR FI | $265.20 | ↓ -84% |
| InterGroup | PPO | $287.30 | ↓ -83% |
| Coventry/First Health | Commercial | $291.72 | ↓ -83% |
| Health Coalition Partners | PPO | $309.40 | ↓ -82% |
| Private Health Care Systems | PPO | $353.60 | ↓ -79% |
| Prime Net | Commercial | $362.44 | ↓ -79% |
| Humana | Commercial | $375.70 | ↓ -78% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $437.36 | ↓ -74% |
| UPMC Health Plan | Commercial | $521.46 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $621.02 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $765.07 | ↓ -55% |
| UPMC Health Plan | CHIP | $1,872.14 | ↑ +10% |
Visitor-reported prices
Comments
Str markers specimen anal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $262.80 | $219.00 – $384.07 |
| UPMC Carlisle | Carlisle | $505.20 | $115.35 – $715.70 |
| UPMC Community Osteopathic | Harrisburg | $505.20 | $168.40 – $1,872.14 |
| UPMC Hamot | Erie | $1,709.40 | $230.35 – $384.07 |
| UPMC Northwest | Seneca | $265.20 | $211.37 – $251.72 |
| UPMC Hanover | Hanover | $505.20 | $186.24 – $1,872.14 |
| UPMC Lititz | Lititz | $505.20 | $186.24 – $1,872.14 |
| UPMC Magee | Pittsburgh | $1,683.00 | $218.13 – $387.72 |